Provider Demographics
NPI:1841641784
Name:ELO-HARDING, ANA (MS, LAT, ATC, PES)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:ELO-HARDING
Suffix:
Gender:F
Credentials:MS, LAT, ATC, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 S HYER AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-4037
Mailing Address - Country:US
Mailing Address - Phone:407-832-5154
Mailing Address - Fax:
Practice Address - Street 1:534 S HYER AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-4037
Practice Address - Country:US
Practice Address - Phone:407-832-5154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-22
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL45362255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer